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Updated: May 23, 2025
Cullingworth reports the history of a woman in whom both ovaries were apparently involved by dermoids, who had given birth to 12 children and had three miscarriages the last, three months before the removal of the growths. The accompanying illustration, taken from Baldy, pictures a dermoid cyst of the complicated variety laid open and exposing the contents in situ.
Wens are to be diagnosed from dermoids, from fatty tumours, and from cold abscesses. Dermoids usually appear before adult life, and as they nearly always lie beneath the fascia, the skin is movable over them. A fatty tumour is movable, and is often lobulated.
These rests are supposed to be undifferentiated embryonic cells which remain embedded amongst fully formed tissue elements, and lie dormant until they are excited into active growth and give rise to a tumour. This mode of origin is illustrated by the development of dermoids from sequestrated portions of epidermis.
If the cyst ruptures, the epithelial elements are diffused over the peritoneum, and may give rise to secondary dermoids. [Illustration: FIG.
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